2 Part III Flashcards
In general a patient with pulmonary fibrosis will have an impaired:
ventilatory pump. This is further evidenced by the exaggerated respiratory rate response and desaturation in the 6-minute walk test results.
__________ is associated with hypothyroidism
Hyporeflexia (1+)
The traditional position to drain the right middle lobe is
left sidelying with one-quarter turn toward supine position, with the head of the bed down approximately 20°
The Fugl-Meyer Assessment is appropriate for a patient who had a
a cortical stroke and would not be the most appropriate for a patient who had a cerebellar stroke
Which nerve innervates the pelvic floor muscles?
Pudendal - innervated by sacral nerve roots S2–S4 through the pudendal nerve
endocrine gland that regulates sexual development?
The pituitary gland serves as a master gland and regulates the secretion of many hormones. The anterior pituitary glands regulate sexual development via release of gonadotropins. Gonadotropins regulate secretion of male and female hormones.
The parathyroid gland is responsible for
calcium and phosphorus metabolism and bone calcification
The adrenal gland is primarily involved in
fluid/electrolyte balance and metabolism
Following acute knee trauma, which examination finding indicates the need for referral for radiographic imaging?
Active range of motion knee flexion limited to 75°
Ottawa knee rules following five criteria are present:
age 55 years or older,
tenderness at the fibular head or patella,
inability to flex the knee greater than 90°,
or inability to weight-bear for four steps.
primary risk factors for atherosclerosis:
High blood pressure, cigarette smoking, and hyperlipidemia. Secondary are stress, obesity and activity level
acquired immunodeficiency syndrome include
those who have human immunodeficiency virus type 1 (HIV-1) and a CD4 count below 200 cells/mL.
Family training should begin
early in the rehabilitation process rather than wait until the patient is ready to be discharged
Subacute stage of hemarthrosis exercise (still some bleeding into the joint space)
active-assist, as there may still be pain or edema in the joint that prevents independent performance of range of motion.
Stable angina generally occurs during physical effort and is characterized by
substernal, usually nonradiating pain lasting between 5 and 15 minutes
Unstable angina, the episodes occur during physical exertion or psychological stress and are
more frequent, the pain may be severe, and the duration of each event is usually greater than 15 minutes.
What precautions should a physical therapist observe when working with a patient infected with methicillin-resistant Staphylococcus aureus?
Contact - spread by contact, wearing a face shield or mask is not necessary
Spinal shock occurs as a reaction to spinal cord injury and is characterized by
an absence of all reflex activity below the level of the lesion. Depending on the extent of the lesion, the patient may lose all or some sensation and motor activity below the level of the lesion.
Pt’s Rt scapula is significantly lower than Lt scapula. Shortness of which muscle on the right is MOST likely to lead to this patient’s postural presentation?
The latissimus dorsi depresses the shoulder girdle and can be short in patients with depressed scapulae
suspected diagnosis is Bell palsy
Asking the patient to smile would most likely show an asymmetrical smile with weakness on the right side. caused by a lesion of the facial nerve (CN VII).
Dorsal column syndrome causes
decreased perception of vibration and proprioception
The tendons tested by the Finkelstein test are the tendons of
the abductor pollicis longus and the extensor pollicis brevis
most appropriate position to mobilize the radial nerve
Shoulder extension, elbow extension, and wrist flexion
Several things can be done to decrease the current density and the possibility of skin irritation. These include
decreasing the intensity of the stimulation, increasing the interelectrode distance, and using larger electrodes.
The onset of a Stage I pressure ulcer is characterized by
nonblanching erythema
Complete severance of the spinal cord causes
motor and sensory loss on both sides of the body
A lesion of the anterior horn cells causes
a lower motor neuron problem and hyporeflexia
hemisection of the spinal cord causes
ipsilateral motor and proprioception loss as well as contralateral loss of pain and temperature. hyperreflexia and a positive Babinski sign
Onset of premature ventricular contractions can be benign or stable.
Less than six contractions/minute is generally stable, while greater than six contractions/minute is considered less stable
The most likely cause of laterally bending toward the stance limb is
abductor weakness on the stance side
Flexion of the knee past 60° can reproduce symptoms of
saphenous nerve impingement
